“Pain Can’t Stop Me”: Examining Pain Self-Efficacy and Acceptance as Resilience Processes Among Youth With Chronic Headache

Kalapurakkel, Sreeja; Carpino, Elizabeth; Lebel, Alyssa; Simons, Laura E.

doi:10.1093/jpepsy/jsu091

Cited by 80 publications

(75 citation statements)

References 46 publications

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“…46 Moreover, changes in self-efficacy (but not changes in pain-related fear) over the 1-year course of the study partially mediated the association between changes in pain and changes in disability. 46 Very similar findings (e.g., high self-efficacy is associated with better functional outcomes, and variability in self-efficacy mediates the association between pain intensity and disability) have been observed in other pain conditions such as arthritis, headache 109 , FM 166 and pediatric pain conditions. 92 To illustrate, in a prospective treatment study, self-efficacy was among the most potent mediators of CBT-related improvements in pain and disability among patients with persistent orofacial pain.…”

Section: Psychosocial Factors Influencing Pain-related Outcomessupporting

confidence: 61%

“…22;23;120;224 Such resiliency research focuses on how individuals successfully adapt to adverse stimuli or situations, such as prolonged and persistent pain, and its impact on multiple areas of physical, emotional, and social functioning. 39;109 While resiliency factors have been linked to outcomes in the FAM, previous research suggests that risk and resilience factors do not represent opposite ends of a spectrum because individuals can be concurrently high or low in both types of factors. 254 This research suggests that consideration of both risk and resiliency factors may help explain how individuals can live with chronic pain without concurrently experiencing disability.…”

Section: Psychosocial Factors Influencing Pain-related Outcomesmentioning

confidence: 99%

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The Role of Psychosocial Processes in the Development and Maintenance of Chronic Pain

Edwards

Dworkin

Sullivan

et al. 2016

The Journal of Pain

627

544

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The recently-proposed ACTTION-APS Pain Taxonomy provides an evidence-based, multidimensional, chronic pain classification system. Psychosocial factors play a crucial role within several dimensions of the Taxonomy. In this paper, we discuss the evaluation of psychosocial factors that influence the diagnosis and trajectory of chronic pain disorders. We review studies in individuals with a variety of persistent pain conditions, and describe evidence that psychosocial variables play key roles in conferring risk for the development of pain, in shaping long-term pain-related adjustment, and in modulating pain treatment outcomes. We consider both “general” psychosocial variables such as negative affect, childhood trauma, and social support, as well as “pain-specific” psychosocial variables that include pain-related catastrophizing, self-efficacy for managing pain, and pain-related coping. Collectively, the complexity and profound variability in chronic pain highlights the need to better understand the multidimensional array of interacting forces that determine the trajectory of chronic pain conditions.

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Section: Psychosocial Factors Influencing Pain-related Outcomessupporting

confidence: 61%

Section: Psychosocial Factors Influencing Pain-related Outcomesmentioning

confidence: 99%

The Role of Psychosocial Processes in the Development and Maintenance of Chronic Pain

Edwards

Dworkin

Sullivan

et al. 2016

The Journal of Pain

627

544

View full text Add to dashboard Cite

show abstract

“…Although some overlap exists between constructs measured by the Peds-SOPA and the PBQ-SF, the PBQ-SF subscales measure broader constructs defined by a specific theoretical framework, and therefore may have greater utility for measuring cognitive processes in psychological interventions grounded in similar theories. The Pain Self-efficacy Scale developed by Bursch and colleagues 2 has been utilized by several investigators in recent years 3, 17 . It is a seven item measure which assesses children's confidence in their ability to function normally despite pain.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Pain Beliefs Questionnaire: Psychometric Properties of the Short Form

Stone

Walker

Laird

et al. 2016

The Journal of Pain

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Cognitive appraisals inform and shape individuals’ pain experiences. As researchers examine mechanisms of cognitive behavioral interventions for chronic pain, psychometrically sound measures based in cognitive theory are needed to directly assess pain beliefs. The Pain Beliefs Questionnaire (PBQ), a 32 item self-report measure informed by coping and appraisal theory, was designed to assess children's pain threat appraisals, problem-focused pain coping efficacy, and emotion-focused pain coping efficacy. The present study aimed to 1) create a short form of the PBQ and 2) evaluate the psychometric properties of the reduced measure in a large database of pediatric patients with functional abdominal pain (FAP; n = 871). Item reduction analyses identified an 18-item short form of the PBQ (PBQ-SF) that exhibited similar psychometric properties to the original measure. All three subscales of the PBQ-SF exhibited strong internal consistency (α's ranged from 0.79-0.80) and adequate test-retest reliability at two weeks. Evidence for construct validity was provided by examining patterns of partial correlations for each subscale. The PBQ-SF represents a valid and reliable measure for evaluating children's pain beliefs. Future studies should investigate the treatment sensitivity of the PBQ-SF in order to evaluate its appropriateness for use in clinical trials.

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“…CBT strategies for chronic pain management address pain education, and teach active coping strategies such as relaxation and imagery, stress management, cognitive restructuring, goal setting, and relapse prevention [19]. Treatment approaches that enhance self-efficacy, or increase confidence to function despite pain, have been suggested as helpful for youth with headaches [20,21]. …”

Section: Managing Chronic Pain: Biopsychosocial Approachmentioning

confidence: 99%

Supporting Teens with Chronic Pain to Obtain High School Credits: Chronic Pain 35 in Alberta

et al. 2016

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Chronic pain is a significant problem in children and teens, and adolescents with chronic pain often struggle to attend school on a regular basis. We present in this article a novel program we developed that integrates attendance at a group cognitive-behavioural chronic pain self-management program with earning high school credits. We collaborated with Alberta Education in the development of this course, Chronic Pain 35. Adolescents who choose to enroll are invited to demonstrate their scientific knowledge related to pain, understanding of and engagement with treatment homework, and demonstrate their creativity by completing a project, which demonstrates at least one concept. Integrating Chronic Pain 35 into an adolescent’s academic achievements is a creative strategy that facilitates the engagement of adolescents in learning and adopting pain coping techniques. It also helps teens to advocate for themselves in the school environment and improve their parents’ and teachers’ understanding of adolescent chronic pain. This is one of the first successful collaborations between a pediatric health program and provincial education leaders, aimed at integrating learning and obtaining school credit for learning about and engaging in health self-management for teens. The authors hope this paper serves as an effective reference model for any future collaborating programs aimed at supporting teens with chronic pain to obtain high school credits.

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“Pain Can’t Stop Me”: Examining Pain Self-Efficacy and Acceptance as Resilience Processes Among Youth With Chronic Headache

Cited by 80 publications

References 46 publications

The Role of Psychosocial Processes in the Development and Maintenance of Chronic Pain

The Role of Psychosocial Processes in the Development and Maintenance of Chronic Pain

Pediatric Pain Beliefs Questionnaire: Psychometric Properties of the Short Form

Supporting Teens with Chronic Pain to Obtain High School Credits: Chronic Pain 35 in Alberta

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